La sindrome da intestino corto: considerazioni etio-patogenetiche e principi di trattamento.

Translated title of the contribution: Short bowel syndrome: etiologic, pathogenetic aspects and principles of treatment

P. L. Colombo, A. M. Sciutto, F. Ferro, A. Scotti Foglieni, G. Pini, C. Bianchi, F. P. Tinozzi, C. Scotti Foglieni

Research output: Contribution to journalArticle

Abstract

A significant problem in surgery following massive intestinal resection is the short bowel syndrome characterized by severe fluid and electrolyte loss, watery diarrhoea and malnutrition. Total parenteral nutrition and enteral nutrition are essential in the clinical course of the syndrome; their use for prolonged periods results in the gradual intestinal adaptation and greater absorptive and reservoir capacities of the intestinal remnant. Adjunctive surgery can slow rapid intestinal transit and induce growth of neo-small-bowel mucosa but is not recommended for routine use. The early results of intestinal transplantation in the treatment of short bowel syndrome are encouraging. Furthermore chronic rejection and systemic sepsis with failure of the graft must be considered and indicate that at present this procedure cannot be offered to every patient but will be a potential form of therapy in future.

Translated title of the contributionShort bowel syndrome: etiologic, pathogenetic aspects and principles of treatment
Original languageItalian
Pages (from-to)823-830
Number of pages8
JournalAnnali Italiani di Chirurgia
Volume68
Issue number6
Publication statusPublished - Nov 1997

ASJC Scopus subject areas

  • Surgery

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    Colombo, P. L., Sciutto, A. M., Ferro, F., Scotti Foglieni, A., Pini, G., Bianchi, C., Tinozzi, F. P., & Scotti Foglieni, C. (1997). La sindrome da intestino corto: considerazioni etio-patogenetiche e principi di trattamento. Annali Italiani di Chirurgia, 68(6), 823-830.